How To Measure Your Kidney Health

Some organs get all the attention. The heart is so glamorous. The liver is known for its detoxification superpowers. And the lungs! So…breathtaking.

But the kidneys? No respect.

It’s too bad–our kidneys are truly remarkable little organs. Their primary job is to filter the waste products from the blood and get rid of them through urination, but the kidneys do oh-s0-much more, working to balance electrolytes and water, and regulate blood pressure. They even help make our red blood cells!

These two little organs reside on either side of your body–if you rest on your back, they sit at about the level of your belly button. Every day your kidneys quietly do their job without complaint, filtering about 120-150 quarts of blood everyday to produce about 1-2 quarts of urine.

That is, until they do start complaining.

Slow and Sneaky Kidney Disease

Chronic kidney disease is a slow moving, long-term, decrease in kidney function. The kidney filter can be damaged by sugar in the blood (diabetes), increased pressure in the arteries (high blood pressure), immune system complexes (autoimmune disease) or toxic chemicals (lead or cadmium exposure from the environment).

Some 25% of north Americans over 65 years old are dealing with chronic kidney disease, and 3% of those will go on to kidney failure, requiring dialysis or kidney transplant. A sad fate for the hardworking and under-appreciated kidneys…and their owners.

Here’s the trouble: just like the kidney hides from the limelight, its symptoms do, too. Most people don’t even know they are experiencing chronic kidney disease because most of the time there are no symptoms at all. When symptoms do exist, they are generally not specific or severe. Weakness, fatigue, swelling in the ankles–that’s happening just because I’m getting older, right?

Even those people who do have some idea that their kidneys are not working well usually don’t truly understand their long-term risk.

It’s time to change and give the kidney the recognition and care it deserves!

The Kidney Failure Risk Equation

Now there is a great little tool that anyone can use to determine kidney risk. To use it, you need three things:

  1. Your age, gender and region (whether you are north American or not)
  2. A blood test called eGFR, estimated glomerular filtration rate, which measures how much waste is still left in the blood. (More equals bad.)
  3. A urine test called urine albumin to creatinine ratio. This urine test measures how much albumin and creatinine are in your urine. (These are proteins that should be in the blood, so if they’re in the urine this is also bad news for the kidneys.)

The first thing on the list you have. The second two are easily done and not expensive.

We take those numbers, enter them into the Kidney Failure Risk Equation, and presto! You get some great insight into your kidney health, and your kidneys get some long-overdue love.

Your kidneys can heal, and future damage can be prevented, but not if you don’t know there’s something wrong. Love your kidneys!

If you’re interested in assessing your kidney risk, you can contact the clinic at 705-444-5331. 

Why Chronic Stress is Bad, and How To Measure Yours

We all experience stress. In fact, we’re supposed to. Our body is an adaptive wonder, and has evolved to not only deal with stress, but use it as a tool to grow. As we wrote about last month, not all stress is bad for us, and there’s evidence to suggest that the right amount, with the right beliefs, can make us stronger, smarter and happier.

But what about when it is bad? What if we’re under more stress than we need, and more often than we’d like? Let’s find out.

Stresso-Sapiens

After a whole lot of evolution, our hormones and neurotransmitters have become finely tuned to react to stress—to choose “fight or flight” as necessary.

That’s a wonderful evolutionary advantage. Back in our cave-person days, we had to deal with the occasional stressor like a war, or an attack by a lion. At those times, being able to route all our resources in an instant to the “run-away-as-fast-as-you-can” muscles was pretty handy.

But the key message here is occasional. We weren’t chased by lions all the time. A lot of the time we simply went on with our day. We lived together in close-knit groups, and ate food that we gathered or caught. We slept when the sun went to bed and woke up when the light came back out. Stressors were spaced out and we had time to recuperate in between.

But now? Now, many of us are chronically and constantly stressed by our jobs, our mortgages, the news, our food, the environment – you name it. We’re experiencing sustained stress over months and even years. That’s not what our bodies where designed to deal with.

Cortisol and You

One of the hormones we produce when we’re stressed is cortisol. This little hormone does a lot of wonderful things to allow us to deal with a stressful situation. It dumps sugar into the blood for energy, it constricts the arteries and increases our heart rate, and it also stimulates the immune system and decreases inflammation.

When we are chronically stressed, though, we can wear out our body’s ability to produce cortisol. Decreased cortisol means we have decreased energy, decreased blood flow and increased inflammation.

And guess what that leads to? Chronic pain and chronic fatigue.

The chronic pain and fatigue makes us unhappy, and less likely to do the things that reduce stress, like exercise and socialize. Which makes us even more stressed.

That’s a nasty cycle. So what to do?

The first step is to find out how your stress glands are doing. Assessing your cortisol levels can be easily and effectively done using a salivary hormone test. Four easy samples throughout the day gives a very good picture of how well, or not well your stress response is functioning.

And what do you if your adrenals are not working like they should?

  1. Sleep. Rest allows your body to heal and recharge naturally, allowing your adrenal glands to rebalance.
  1. Cut caffeine. Caffeine stimulates the secretion of cortisol. Trying to do so when your adrenals are worn out just makes things worse.
  1. Yoga and mediation. Gentle stretching and conscious breathing help improve cortisol levels and adrenal function.
  1. Exercise.  There’s a mountain of evidence that exercise reduces stress. It really is irrefutable. If your inflammation is high, don’t get crazy–you don’t need to do any triathlons or sprinting. Just a walk in nature will change your physiology. It’s that easy.
  1. Supplement. There are many vitamins and herbal medicines that work wonders for tired adrenals. Intravenous B vitamins and amino acids are particularly beneficial. Your naturopathic doctor can tell you which ones are right for you.

If you’re interested in measuring your stress response, and finding a customized supplement and treatment plan for your body, contact the clinic at 705-444-5331. 

7 Ways to Improve Your Indoor Air Quality

Moving to our new home has been very exciting. Out with the old and in with the new! New paint, new carpets, new furniture, new appliances–they are all shiny and beautiful, but they also emit their fair share of solvents and chemicals.

As naturopathic doctors we counsel our patients to avoid as many chemicals in their environment as possible. We suggest they eat organic food to avoid pesticides, use all-natural cosmetics to avoid phthalates, use all natural cleaners to avoid triclosan, and so on.

So how are we dealing with our increased exposure to the solvents and chemicals that come with moving into our new home? The same way you can! Here’s what we’ve been up to.

1. Buy Used When Possible

This is an often-overlooked way to decrease your overall exposure to solvents and chemicals. When you buy or re-use old stuff, the off-gassing has already happened, making that piece of furniture or cabinet more chemically inert.

You will see many of the fixtures and furniture from the old clinic in the new one. Also, I love to check out used furniture stores or building stores, and surf on kijiji. Not only is it cost effective, but the chemical tax has already been paid!

2. Use Low VOC paints

Robinsons Paint and Wall Paper here in Collingwood carries a great line of Benjamin Moore paints that contain zero volatile organic compounds (VOC’s) and are remarkably low odour. (Note: that’s zero VOC according to the standard method used to measure them, EPA Method 24, which isn’t perfect, but is something.)

3. “Bake” a New Room

When the carpets went in, we cranked up the heat for the weekend and then came in on Monday and opened the windows. The idea is that increased heat speeds up release of the solvents, which you can then release from the building. This process can speed up the off-gassing time markedly–you can use it at home when you paint, get new furniture or carpet, or otherwise introduce new sources of VOC’s to your home.

4. Use Room Air Filters 

A good HEPA filter and carbon filter combo does a great job of getting the dust, extra solvents and chemicals out of the air. We used several of these ones, which after some homework seemed like the best value for the dollar.

5. Install an HRV

Older buildings are often said to “breathe”, which is a nice way of saying they’re leaky and drafty. Modern buildings don’t breathe as much, which is much more efficient, but it also means they can get stuffy because they air stays inside.

In our new office, we installed a heat recovery ventilator system, or HRV, which takes fresh air from outside the house, brings it inside, and circulates it through the ductwork. The unit transfers a portion of heat in the stale air being exhausted to the fresh incoming air from outside before being distributed throughout the house, so it doesn’t feel drafty.

6. Put Plants to Work

Nature has its own system for cleaning the air, and you can use it inside, too: plants. Here’s a post from our archives about three plants you can use to scrub CO2, add oxygen, and remove toxins.

7. Support Your Biochemistry

Our bodies have an unbelievable ability to detoxify chemicals. There are double redundant systems to do it, and as your body is exposed to chemicals, those systems kick it up a notch and work even harder. As long as you give your body what is required for those detox pathways to work, they will work remarkably well.

We all drank LOTS of water after the move. (In fact, you’ll notice in a new home you might feel thirstier for a few days. That’s your body’s systems at work.)

We also consumed lots of green juices and smoothies, plenty of fruits and veggies, and herbs and supplements like milk thistle, alpha lipoic acid, N-acetylcysteine, B vitamins, magnesium and many others.

The How of Weight Loss

“This year I’m going to lose the weight!”

This is a sentence many of us have uttered at least once at the beginning of the new year.

People Magazine does a yearly special at this time of year called “Half Their Size”, in which they feature everyday individuals who lost at least half of their body weight or more. They print before and after shots of these amazing people and a short description of how they did it. You can see a few tidbits and some pics here.

I always buy this issue. It is truly uplifting to see the transformations, but inevitably patients also end up in our office asking about the diets, supplements and programs mentioned in the issue.

To my delight, two of the six people in the issue credited working with a naturopathic doctor as part of their success.  

I love this exposure for our profession, but I also love what it means for those two people and the many, many others who struggled to find a healthier body through naturopathic medicine–the discovery that the how of weight loss is never earth-shattering.

Working with a naturopathic doctor means that there is likely no drugs, surgery or new diet supplement involved. No miracle pills, or magic chocolate or mysterious machines that create abs from ice cream.

Instead, the “exciting new discovery that shaves away the pounds overnight” that these people learned from their naturopath probably involved sensible eating and moderate exercise. It likely meant slow, but sustainable change.

It meant looking at their whole life and asking, “Where can we create more health?” because optimal health and optimal weight go hand in hand.

Health Mysteries

“In the beginning, disease is difficult to recognize but easy to cure.
In the end, disease is easy to recognize but difficult to cure.”

– Franz Mesmer, German Physician

I love this quote. It’s a lesson for patients in the value of prevention and long term health thinking, but also a reminder to doctors of the importance of not shying away from the hard diagnostic work of challenging cases.

Challenging cases are something every doctor gets, and we see our share. Every week, new patients arrive at StoneTree with health care dilemmas. And while each patient’s symptoms might be vastly different, at the heart of many cases there’s a common theme: they feel awful but conventional medicine says there is nothing wrong with them.

These patients are often angry and frustrated. Their lab tests have come back not showing anything significant. They’re being told, “It’s all in your head.” They feel like they might be malingering hypochondriacs.

Of course, they’re not malingering hypochondriacs. Their body is in that first stage of disease that Mesmer is talking about, the stage where it is very difficult to identify a problem, particularly by standard tests that are geared toward diagnosing disease, not subtle imbalances. And that leaves patients with a problem: they have a health mystery that no one seems interested in solving except them.

Well…we like the mysteries. The great thing for many of these patients who end up in our office is that although recognizing what is wrong with them has been frustrating and difficult, the fix can often be much easier.

Dealing with nutritional deficiencies, low grade toxicities, food intolerances, hormone imbalances or immune system issues in the early stages reap huge rewards. People have more energy, and get better sleep. Their moods balance. Their immune systems, which seemed to be betraying them, now behave properly and their detox systems are not overrun.

There’s a prize for solving the mystery, and that’s a faster, easier return to health. That’s why we like the mysteries. As Mesmer suggests, a hard problem to solve beats a hard disease to cure.

Why Vitamin D Matters

If you lived in the northern latitudes of Europe during the industrial revolution, you’d have seen a common but unnerving sight: children with bowed legs and knock-knees, who looked almost “twisted”. That crooked appearance led to a label derived from an old English word for twist: rickets.

Back then, rickets was running rampant across parts of Europe, especially England and Scotland. Scientists were working on the problem—along the way they discovered solutions like cod liver oil—but it would take until the 1930’s before a deficiency of a newly discovered substance called Vitamin D would be clearly identified as the cause.

The Sunshine Vitamin
What scientists chasing a cure for rickets in the 1700’s and beyond didn’t realize was that the substance they were chasing, Vitamin D, was unique.

Cities in Europe during the industrial revolution had become large and heavily polluted. The combination of smog, and increasing amounts of time spent inside, had reduced people’s exposure to sunlight. And Vitamin D, we would eventually discover, is made from sunlight.

Unlike other vitamins, like vitamin C, which we get exclusively from our diet, vitamin D doesn’t occur in food in very high levels. We get the bulk of our vitamin D through exposure to sunlight—our bodies make it. It’s why you might have seen news articles touting the “return of rickets” because of our reduced sun exposure.

What Vitamin D Means for You
So why does vitamin D matter today? Vitamin D has many actions in the body. In fact there are receptors for it on every cell in your body. And while you’re not likely to suffer from rickets, low levels of Vitamin D are linked to a host of conditions ranging from psoriasis to thyroid conditions and osteoporosis.

For this darkening time of year, what might be most relevant is that researchers have linked low vitamin D with seasonal affective disorder, or SAD.

In our deficient patients at the clinic, an increased oral dose through the winter (or a trip to the sunny south) can make their symptoms a lot better. Vitamin D with the use of light therapy helps even more. You can read about our favourite light therapy tool in our January newsletter.

If you have concerns about SAD, or want to learn more about vitamin D testing and supplementation, you can contact the clinic at 705-444-5331.

Booze Belly?

That persistent “middle fat” of the forties is something that many of our patients complain about. It often seems that no matter how much exercise they do or how well they eat, they struggle with weight loss.

While there’s no denying that a 40-year-old body is physiologically different from a 20-year-old one, our experience has been that there’s also some 40-year-old habits at work, too. One of them is daily alcohol.

In the many years that we’ve been reviewing people’s diets, it is not uncommon to see a daily glass of wine with dinner, or a beer at the golf club or a scotch before bed.

Patients feel this is not a big deal. And maybe they’re right—it is only one or two drinks, after all, and isn’t that supposed to be good for your heart anyway?

Yeeeessss. In theory. One drink a day as a woman, or two drinks a days as a man, is considered something that is good for your health. It’s been shown to prevent heart disease, stroke, type 2 diabetes, dementia, arthritis and even some types of cancer. “And hey,” our patients say, “It seems to work in France, right?”

Perhaps. But in our clinical experience, there’s a flip side to the story. One that’s less about health studies, and more about habits.

The Unintended Consequences of Daily Drinking

There are many ways that your daily “health tonic” might be getting in your way with respect to losing weight and maintaining your energy levels. Most are a result of the way in which daily drinking changes our behaviour in subtle ways.

1. Calories

The average glass of wine or bottle of beer is about 150 calories. So one glass a night for a week is over 1000 extra calories a week.

Of course, the quality of calories matters. And to your body, booze is a lot closer to sugar than broccoli. Alcohol is no superfood. (One pound of fat is equal to 3500 calories, BTW—not many weeks required to gain a pound if it all ends up stored that way.)

And who is fooling who? One drink a night? Not likely. One and half or two is more like it. Alcohol consumption is habitual, and it can creep. Every week and half you could be downing a pound of fat’s worth of low quality calories. No small amount.

2. Decreased inhibition

Alcohol is one of the most widely used drugs in society. A small amount of alcohol has the amazing ability to take the shoulders away from the ears, and ease all the stressors at the end of a long day. With that calming effect, however, also comes a decrease in inhibition, resulting in that “one glass” of wine turning into two without so much as a second thought.

3. Increased eating of the wrong things

Along with the decreased inhibition for having a second glass, also comes a decreased inhibition around snacking and eating. Beer goes great with peanuts or pretzels. You may have had no interest in either before that first sip, but by the end of a bottle you’ll have changed your mind. And wine? It seems to go great with cheese and crackers. Not so much with celery.

4. Decreased sleep

Alcohol use, particularly in the 40+ set, affects sleep quality and quantity. Much research has linked poor sleep, or too little sleep, to obesity and difficulty losing weight

5. Opportunity cost

Drinking involves sitting and being sedentary. And that means that every drink comes with the opportunity cost of not being able to do anything remotely active. When you have a drink after work, you’re not going for a walk after work.

A walk, a yoga class, or a bike ride would have the same effect of decreasing stress at the end of the day without the added calories. It would also decrease your risk of all chronic diseases, increase your sleep quality and yes, help take that pesky 10 lbs off.

So, yes. That drink-a-day might be good for you. But it seems more likely that there’s more to the story than we think. Next time you reach for that daily healthy glass of wine, consider that it might be changing the shape of your life and your body.

Heart and Stroke Foundation says ‘Cut the Crap’

After years of recommending a diet low in saturated fat or salt and suggesting that margarine is a healthy alternative to butter the Heart and Stroke Foundation has finally got it right.

This CBC article pretty much captured it all in the title: “‘Cut the crap,’ get back to nutritional basics, Heart and Stroke Foundation advises”

It’s great to see the news spread about not avoiding specific types of fats or different parts of food, but instead focusing on eating a WHOLE food diet.

What does that mean? It means focusing on the quality of what you’re eating–eating real, unprocessed foods like veggies, fruits, nuts, seeds, legumes, whole grains, dairy, eggs, lean meat, chicken and fish.

What’s processed? Sugary drinks, chips, snacks, processed meats, processed sauces, low-fat products, and all the “crap” that is passed off as food.

Some ideas to eat right from the Heart and Stroke Foundation:

  • Cook from scratch at home as much as possible using whole ingredients. (Check out this great video of author Michael Pollan for inspiration)
  • Teach children and young people how to cook.
  • Pay attention to portion sizes.
  • Eat a healthy, balanced diet with a variety of natural and whole foods.
  • Eat fewer highly processed foods with many ingredients, additives and preservatives.

Here is a great website of 31 crockpot meals that you can make ahead of time, put in the freezer and take out everyday to have a healthy, home cooked meal–easy, yummy and wholesome. Great for those times when you know the end-of-the-day-I-just-want-to-order-takeout days will overwhelm you!

The Power of Juicing

Today is officially the first day of fall. School is in, summer vacation is over, and for many, thoughts are turning to a shift in habits from a summer of eating and drinking in…well, let’s call it “holiday mode”…to something that feels a little better in the long run.

We have written much in the past about detoxing and its importance to the body. You can read some pieces here, and here. And there is an entire section of our local newspaper article archives devoted to the topic here.

Sometimes, though, a picture is worth a thousand words. Last year, StoneTree Clinic sponsored the Be The Change Film Series documentary “Fat, Sick and Nearly Dead”. In the film, author Joe Cross and his journey to wellness through juicing. It’s an amazing story and worth a watch on Netflix or online here.

The What and Why of Juicing

Juicing is the process of extracting the juice from fruits and vegetables. The idea is that a single juice gives you the vitamins, mineral and phytonutrient equivalent of a full day’s servings of fruits and vegetables. Doing this multiple times a day, gives you the benefit of more fruits and vegetables then you can actually physically ever eat in a day.

Why do this?

Most of us have lots of extra energy stores hanging around our body, especially after a summer of drinking beer and eating burgers. Dieting by decreasing calories can work for some, but for others it throws our body into a starvation mode, causing us to never let go of that extra weight.

Vitamins and minerals in our food do many things for us, including helping us use stored fat as an energy source. A juice packed with tons of these little beauties makes our body feel nourished and vibrant and allows those fat stores to be burned more effectively. The increased vitamins, minerals and phytonutrients also support the detoxification of our liver and kidneys, while at the same time supporting our immune and endocrine systems.

This year we have teamed up with Press Juice Co., to make fall cleansing even easier and more delicious. Join Dr. Kendra Reid, this Tuesday, September 21st at Press Juice Co. to try the “StoneTree Juice” and learn about detoxification and juicing!

NON-stick is NON-safe

More than a decade ago, investigations discovered that perfluorooctanoic acid, or PFOA, a chemical used in the making of Teflon, was linked to birth defects, heart disease, and cancer.

The chemical has been phased out since a 2006 settlement, and no longer produced since 2013. But the chemicals in current “non-stick” cooking products are chemically related and according to recent research, they seem to have the same deleterious health effects.

Last week, research from 2 leading environmental health scientists, Philippe Grandjean of Harvard and Richard Clapp of the University of Massachusetts-Lowell, reported two things. First, the recommended “safe level” for PFOA is likely more then 1000 times higher then it should be to protect health, but more importantly, like lead and asbestos, it is likely not safe at any level.

Non-Sticky in the Pan, But Sticky in the Body

PFOA and its chemically related cousins are biochemically persistent–they stick around and accumulate in the body over time. Half-life in the body is 4-10 years, and there are traces found in the blood of 98% of people tested, in polar bears, and in dolphins in India. This stuff sticks around.

The compound bio-accumulates over time because of the way it is eliminated from the body. Chemicals like PFOA’s leave the body through the bowels. In the liver they are mixed with bile because they are fat-soluble, and this toxic bile mixture, then leaves the body via a bowel movement. The trouble is, on the way out, your body re-absorbs up to 90% of that bile, along with the fat-soluble toxins with it. Bringing it back to the liver to try again.

What Should You Do?

1. Use non-stick cooking alternatives

  • You can find a list of recommendations here.

2. Filter water

  • Use an activated charcoal or reverse osmosis system.

3. Help your body eliminate them

  • Increase fiber in your diet.
  • Supplement with chlorella, which naturally binds bile acids, aiding your body in getting rid of fat-soluble toxins.
  • Colon hydrotherapy stimulates the liver to release bile as well as washing the bile out before it has a chance to be reabsorbed and is a powerful way to rid your body of fat-soluble toxins.

You can read a long and damning history of DuPont’s manufacture of C8, another name for PFOA, here, including details of the lawsuits and cover ups. Tragic.